Organization
CORA HEALTH SERVICES INC.
Active
Other names
CORA Physical Therapy - Riverside
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN KRZYMINSKI (EXECUTIVE VICE PRESIDENT)
(419) 221-6717
Entity
Organization
Contact information
Practice address
1045 RIVERSIDE AVE STE 190, JACKSONVILLE, FL 32204-4189
(419) 221-6717
(419) 222-0507
Mailing address
PO BOX 150, LIMA, OH 45802-0150
(419) 221-6717
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X1D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/29/2012
Last updated
09/28/2023
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